22224 80TH AVE W.PDF111111111111
7214
22224 80TH AVE W
Notes:
1. All signs and spacing shall conform
to the MUTCD and City of Ed.nfonds specs.
2. Work zone is 200'sto 222 ST SW
& 14'e/o c(I 80 AVE W
3. Flaggers will control alternating
one-way traffic.
4. Alert affected residents
5. Channeli7ing devices are 28" cones.
6. Tapers will be 501 - 1001 and must
contain at least 6 devices.
7. All signs are 48" x 48' B/O
unless otherwise specified.
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Pilchuck Contractors, Inc.
Job #107017949
4 Oct 03
Sheet I 11
J. Buss
National Barricade Co
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224 ST S AMEW
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TAPER
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1 40
LEGEND
WORK AREA
n" TRAFFIC CONE
EXISTING TRAFFIC FLOW
3Z SIGN LOCATION
FLAGGING STATION
PROTECTIVE VEHICLE
OR WORK VEHICLE
Permit No
City of Edmonds _02S 4.
RIGHT-OF-WAY CONST-�UGTION PERMIT Issue Date:
A. Address or Vic' inity of Construction: Q.9991�34 Sro
B. Type of Work (bd speci�iv.� o k�lz�c,,M 0�
abo I 's 6 cj� -a 9.,1 _5 1 5 LA-)
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C. Contractor:., 1---' �6A -Contact
Mailing Address: y'ua� v 4.J Phone:-4, �j ��3'9
State License pt L 0- Liability Insuranc -Bond:
,D. Building Pertnit# (i,��pplicable): Side Sewer P i # if pli,cable):
C' Proj E
E. Commercial Subdivision VE AT& T, OVWD)
F] Multi -Family JO Single. Family ther
'INSPECTOR:
F PAVEMENTCUT: DYES [j NO \k\\V//(�_AS1kJE01F CUT
CONCRETE CUT: El YES Elvo
INDEMNITY. � Applicant understands. by - his/her ture to this application helshe hold(. the City of Edmonds harmless from
J . nj . uri . es, damages or claims of any kind, or dlesc 2, " ion whatsoever, foreseen, or unforeseen, that may be Made. against the City of
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Edmonds or any of its departments'or employe .Jncluding but not. limited to the defense of al proceedings including defense
co�ts and attorneyfees by reason ofg�antinlgt is ermit.
THE CONTRACTOR IS RESPONSIBLE FOR ORK NSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE #K ESTIMATED RESTORATION FEES WILL BE HELD. UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICH A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT,
WHICH ME
y a
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* Traffic control and public sa shall be in accordance with'.City regulations asrequired by the'City Engineen Every
f y I
flagger.must be trained as e.quired,by (WAC 296-155-305 and must have certification verifying completion of the
required training in their-p session.
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+ Restoration is to.be in a o dance with City codes. All street -cut trench work,shall be patched with asphalt or City -
approved material prior /oth6end of the workday — NO EXCEPTIONS.
* Three sets of constructZ, 7ddrawings of proposed work are required 'with the permit application.
DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK,
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IHAVEREADTHE BOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
0
Y"HE
THATIMUSTMA PINK COPY OF THE PERMITA VAILABLE ON SITE A TALL TIMES FOR INSPECTIONS
Da te
Signature: 16
(Contractor or Agent)
r
FOR CITY USE ONLY
Approv/d by: Right-of-way Fee:
Tim'e uthorized: Void After Disruption Fee/Fund 111:
Conditions: Restoration Fee:
Total Fee:
Receipt No;
s - I d b
sue
UPON COMPLETION OF PERMITTED WORK9 AN ENGINEERINGFINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00,OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE (Phone 425-7 71-0220, Ext. 1326)
FINAL,APPROVAL OFPERMITTED WORK.', DATE:
Inspector's Signature
kFor inspection requirenfents see En 0
gineering Inspection Informati n handout.
.... ................. .....
DAMy Documents\Forms\Engnmg�RpWpermit_.doc
PROPOSED —
EASEMENT
04M —� n
111�r
N
EOM---------�
f-114" PE CA]
3'N PL & 176'
(__ -)S CL
(—')W CL
Z213 EVI VIn 40n
1-114" PE IP MAIN
30N PL
(--')N PL
PVT RD
222 ST SW
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IP CAS FLOW X
TIE—IN
1-114" SVC TEE H1750f
200'S CL & WE CL
I I I rr.
60' tT) (--')E CL
R/W 1-114" TRANS. FIT. t TEST LEAD
200'S CL & WE CL
- - - 1)S CL
(---')E CL
- 2 _§_T__S W
24
MIN
WW
FITTER (CHECK BOX IF COMPLETE)
Work area left in Clean & Safe ondition 1:1
Complete all Pipe Tables and Gas Pressure Stamp 11
Field changes Red -Lined on, as -built 1:1
Material verified and Changes oted on paperwork 0
All Valve & rie-in Locations oted on as -built 1:1
Note beginning of Main, EOM & Lime of Main locations El
Show Rope Locations & Cul-de-sac Radius— El
Foreman's Signature
Company
Employee ID#
STANDARD GAS CONSTRUCTION NOTES:
1. FIELD LOCATE ALL UNDERGROUND UTILITIES. CALL *ONE —CALL" TWO WORKING DAYS PRIOR TO CONSTRUCTION, IN
WESTERN WASHINGTON CALL. 1-800-424-5555. IN KITTITAS COUNTY CALL. 1-800-553-434-4
2. ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES.
3. EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARY
EROSION AND SEDIMENT CONTROL AND ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
4. N011FY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS
PRIOR TO BEGINNING CONSTRUCTION. USE IS! TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND
DELIVER FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT
THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED
PER GAS OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE.
5. ANY CHANGE IN ROUTE, TIE—IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY PSE GAS ENGINEERING
SERVICES.
6. COMPLETE "PIPE CONDITION REPORT" ON ALL EXPOSED EXISTING PSE FACILITIES. CHECK BOX ON REPORT FOR WRE
BOX (TEST LEAD) INSTALLATION.
7. ACTIVE SERVICES DENOTED BY-
8. PIPELINE MARKERS AND WARNING SIGNS SHALL BE -INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS
OPERATING STANDARD 2525.2500.
9. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS OPERATING STANDARD
2525.2600 FOR ALL HP VALVES IF THE LOCATION IS NOT REDILY ACCESSIBLE, AND FOR ALL VALVES WHERE
PERSISTANT SNOWFALL MAY OBSCURE THE VALVE BOX .
10. TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS
SHOWN ON THIS DESIGN UNLESS APPROVED BY PSE GAS ENGINEERING SERVICES.
11. SYSTEM MAOP DENOTED BY: ISYSTEM MA6_P = —45— PSIG
12. GAUGE AND MONITOR USE OF ALL STOPPERS TO ENSURE ADEQUATE FEED.
13. RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION.
14. GAUGE AND MONITOR USE OF ALL STOPPERS AND SQUEEZES TO ENSURE ADEQUATE FEED. (USE MANOMETER FOR
LP SYSTEMS)
15. RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION.
15. PURGE POINTS AND PRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525.3400, AND 2525.1200.
GAS MAIN INSTALLATIONIRETIREMENT
TypefWork
Pipe Size
Type
Estimated
Length
Actual
Length
Manufacturer
INSTALL
1-1/4"
PE
190,
GAS MAIN PRESSURE & TESTING
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
ITIME OFF
Design Press 60
1 SYS MAOP 45
Contractor CONSTRUCTION COST CODES:
031-103-1 1 1 1
Project Manager Contact InformatIon:
PATTI NESS
CELL: 425-327-2783
REV# DATE BY DESCRIPTION
3
2
1
Vicinity Map
WORK SITE
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Owner / Developer Contact thib
MARTIN BODE
9127 218 ST SW
EDMONDS, WA 98026
ATTN: MARTIN BODE 206-715-1969 office
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to
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES
REAL ESTATE1EASEMENT PERMIT
REQUIRED C17Y OF EDMONDS
FUNCTION CONTACT PHONE
PROJECT MGR PAM NESS 206-418-4237 19122103
ENGR-GAS
DRAWN BY
nw=nv;=n ny
COUNTY EMER SECt GAS WK CTR APPROVED BY
SNOHOMISH 5 MCNSEG FITTER #1
1/4 SEC OP MAP PLAT MAP FITTER #2
SE-30-21-04 164.068 165.069 MAPPING
JOINT FACILITIES ARRANGEMENTS
UTILITIES
CONTACT
PHONE#
PUGET MARTIN BODE
SOTMT
CMGY 1-1/41' PE IP MAIN EXTENSION
22224 80 AV W, SEATTLE, WA 98026
np-9-Gimn By PILCHUICK CONTRACTORS INC.
JOHN MOSS
206-418 -4253191.
91003
FATTI NESS
206-418-4237
1 q. �3
PATTI NESS
206-418-4237
01 - U)-
107017949
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